UC San Diego Workers’ Compensation Office is required to report serious injury or illness to Cal/OSHA within 8 hours from the time of the incident. Reporting delays can result in Cal/OSHA fines to your department.

*A serious injury or illness is one that requires inpatient hospitalization, or in which an employee suffers a loss of any member of the body or suffers any serious degree of permanent disfigurement.

First aid treatment may be appropriate treatment and is not considered a workers’ compensation benefit, although first aid costs will be paid by your employer.

If medical treatment exceeds first aid treatment at the initial or subsequent medical visits, the UCSD Workers’ Compensation Office will send you a State of California Workers’ Compensation Claim Form (DWC-1).

How to file a claim:

Complete and sign the Employee portion of the DWC-1 form.

Describe your injury or illness completely. Include every affected part of your body.

Make a copy of the form for your records.

For expediency, fax a copy of the form to the UCSD Workers’ Compensation Office: (858) 246-0973.

Mail the original form to Mail Code 0925. By returning the DWC-1 form, you are actually filing a claim for workers’ compensation benefits.

For details on procedures relating to workers' compensation claims, benefits, and responsibilities, check the following guides for: